Agenda and minutes

Improvement and Scrutiny Committee - Health - Monday, 15 May 2023 2.00 pm

Venue: Committee Room 1, County Hall, Matlock. View directions

Contact: Juliette Normington  Email:

No. Item


Declarations of Interest

To receive Declarations of Interest (if any)


There were no declarations of interest.


Minutes of Previous Meeting pdf icon PDF 105 KB

To confirm the non-exempt minutes of the meeting of the Improvement and Scrutiny Committee - Health held on 6 March 2023.


RESOLVED to confirm the minutes of the meeting of the Improvement and Scrutiny Committee – Health held on 6 March 2023.


Public Questions pdf icon PDF 54 KB

30 minutes maximum for this item.  Questions may be submitted to be answered by the Scrutiny Committee or Council officers who are attending the meeting as witnesses, on any item that is within the scope of the Committee. Please see the procedure (below) for the submission of questions.


There were no public questions.


DCHS Quality Account pdf icon PDF 83 KB

Additional documents:


Michelle Bateman, Executive Director of Nursing and her deputy Jo Wain, introduced the Derbyshire Community Health Services organisation final draft of the Annual Quality Account (2022/23) for consideration by the Committee and sought comment from the Committee.  It was expected that some amendments would be made, including the updating of data, and the introduction by the Chief Executive would be added to the document prior to full publication.


Services were still recovering from the COVID pandemic, with staff experiencing the issues as the public.  Despite that, Performance Indicators were looking good, volunteering had increased and a Quality Service Committee had been established.


Committee members requested that they receive the additional data to enable the Committee to provide its comments.




1)    Note and acknowledge the report; and


2)    Committee would continue to challenge DCHS following receipt of the missing updated data, graphs and tables which would be circulated to Committee later in the week.




Outcomes of Winter Service Delivery pdf icon PDF 862 KB

Additional documents:


This item was deferred to a future meeting.


Learning Disability Short Breaks pdf icon PDF 1 MB

Additional documents:


Mick Burrows, Director of Commissioning for Mental Health and James Lewis, Head of Joint Strategic Commissioning for Learning Disabilities and Autism introduced the report, which had been circulated prior to the meeting and which gave an update regarding progress on reviewing Joined Up Care Derbyshire’s (JUCD) NHS Learning Disability Short Breaks provision and sought support and comment on the proposed next steps.


The service currently supported between 60 – 70 families, offering respite care for people with learning difficulties; the service was predominantly offered across the north of the county.  The review considered a more effective referral system to offer to more people across the county – including mid and south Derbyshire areas.


Members noted that the Service was currently budgeted to cost £1.4m each financial year. This was a significant financial outlay for a relatively small number of people.  Furthermore, it was estimated that, at current usage, JUCD NHS Learning Disability Short Breaks, at £6,629 per week, were over ten times more expensive, per person supported than short breaks provided by the private, voluntary and independent sectors (£632-£655) and five times more expensive than DCC's provision £1,384.


A number of questions were posed by the Committee around timescales,

determining need and access to the service.  Members felt the impact would be felt on a personal level and that aneffective referral process should be in place.  The Committee requested more transparency and that future reports contain more detail.


Cllr Moss left the meeting at this point.




1)   Committee support the review and the next steps of the consultation process; and


2)   Request that the outcomes of the review be reported to the Committee once it had been completed.


Work Programme (verbal report)


Jackie Wardle, Improvement and Scrutiny Officer updated the Committee of work recently undertaken.


Work had continued with the South Yorkshire and Manchester joint health committees.  Both committees had received their joint forward plans, which would be presented at the next meeting of this committee.


The Committee’s proposed work programme for 24 July was summarised:


·         Maternity Services Update (provisional);

·         Access GP to Services Update (provisional);

·         Financial Recovery Plan;

·         NHS Response to the Joint Forward Plan; and

·         East Midlands Ambulance Service.


It was hoped that the new Director of Operations at Derbyshire Community Health Service, Dean Wallace would attend the meeting on 25 September 2023.


RESOLVED to note the report.